RT Journal Article
SR Electronic
T1 Pulmonary rehabilitation following hospitalisation for acute exacerbation of COPD: referrals, uptake and adherence
JF Thorax
JO Thorax
FD BMJ Publishing Group Ltd and British Thoracic Society
SP 181
OP 182
DO 10.1136/thoraxjnl-2013-204227
VO 69
IS 2
A1 Sarah E Jones
A1 Stuart A Green
A1 Amy L Clark
A1 Mandy J Dickson
A1 Ann-Marie Nolan
A1 Clare Moloney
A1 Samantha S C Kon
A1 Faisal Kamal
A1 Joy Godden
A1 Cathy Howe
A1 Derek Bell
A1 Sharon Fleming
A1 B Mimi Haselden
A1 William D-C Man
YR 2014
UL http://thorax.bmj.com/content/69/2/181.abstract
AB Rationale Several randomised controlled trials support the provision of early pulmonary rehabilitation (PR) following hospitalisation for acute exacerbation of chronic obstructive pulmonary disease (AECOPD). However, there is little real-world data regarding uptake, adherence and completion rates. Methods An audit was conducted to prospectively document referral, uptake, adherence and completion rates for early post-hospitalisation outpatient PR in Northwest London over a 12-month period. Results Out of 448 hospital discharges for AECOPD, 90 referrals for post-hospitalisation PR were received. Only 43 patients received and completed PR (9.6% of all hospital discharges) despite a fully commissioned PR service. Conclusions Despite the strong evidence base, there are poor referral and uptake rates for early outpatient PR following hospitalisation for AECOPD, with only a small proportion of the intended target population receiving this intervention.